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Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application a is authorized agent and we agree to conform to all applicable laws of this jurisdiction. Sign ure of applicant Address Application date I � ) f 6d NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans B Notes Fee Started Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL Is OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Ch Date Number Obtained y pp Check By y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER II. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number 7 Building. 7 Use Group Permit issued "Staf � _ 19 Building Fire Grading Permit Fee $__ L]/y Live Loading Certificate of Occupancy $ Occupancy Load $ Approved by: Drain Tile � Plan Review Fee $ TITLE CITY OF NORTHAMPTON �. MASSACHUSETTS d OFFICE of the INSPECTOR of BUILDINGS Page t� C Plot � �� APPLICATION FOR ZONING PERMIT AND INSPECTOR BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 ZONING AT (LOCATION) � `(� /r DISTRICT (• TREET) LOCATION (NO.) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V► II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 J�New building Residential Nonresidential 2❑ Addition(l/ residential, enter number 12 One family 18❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 ❑ Two or more fami ly - Enter 19❑ Church, other religious number of units- - - - -> 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory - Enter number 5 F-1 Wrecking (If multifamily residential, of units ------- - --). 22❑ Service station, repair garage enter number of units in building in 15 ® Garage 23 ❑ Hospital, institutional Part D, 13) 24 E] Office, bank, professional 6❑ Moving (relocation) 16 ❑ Carport 17❑ Other - Speci/y 25❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 ❑ Private(individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,•,••........... school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical..................... b. Plumbing ..................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ L16 111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑ Masonry (wall bearing) 40 ❑ Public or private company 48• Number of stories............... 31� Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34 ❑ Other - Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 ❑ Gas Will there be central air 52. Outdoors........................ 36 ❑ oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 f Electricity 44 ❑ Yes 45 !'7 No 53. Number of bedrooms.............. 3B Coal 39 ❑ Other - Specify Will there be an elevator? Full.......... -" 54. Number of 46 [-] Yes 47 ❑ No bathrooms - Partial........ DEPT. OF BUILDING INSPECTIONS gU I LDI NG Z° 212 Main Street < a.Northampton, MA 01060 PERMIT 40 12C - 78 VALIDATIONy DATE September 6, 19 85 PERMIT NO. a0IM, 524 APPLICANT James Duffy ADDRESS 56 Carolyn Street Owner (NO.) (STREET) (CONTR'S LICENSE) New Building UMBER OF PERMIT TO g (_) STORY Garage DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) 56 Carolyn Street ZONING URA AT (LOCATION) y DISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION /• LOT BLOCK SIZE BUILDING IS TO BE 24 FT. WIDE BY 30 FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS, permit for the construction of a 2 car gar_ngP AREA OR VOLUME 720 sq. ft. ESTIMATED COST $ 6,000.00 FEE MIT 24.00 (CUISIC/SQUARE FEET) OWNER Same as A licant ADDRESS Same as pp lcant s BYILDI WHITE - FILE COPY . GREEN - FIELD COPY ■ CANARY - APPLICANT COPY • PINK - AS ESSORS COPY pjNT P